ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2008
Differences in clinical presentation among persons with pulmonary tuberculosis: a comparison of documented and undocumented foreign-born versus US-born persons.
Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.
- Tuberculosis in migrant populations. A systematic review of the qualitative literature.PloS one · 2013Pooled it
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- Comparison of Delay in Tuberculosis Diagnosis Between Migrants and Local Residents in an Eastern County of China: An Analysis of the Electronic Data Between 2015 and 2019.Frontiers in public health · 2021Article
- Using Electronic Health Record Data to Study Latino Immigrant Populations in Health Services Research.Journal of immigrant and minority health · 2020Article
- Development of a high sensitivity TaqMan-based PCR assay for the specific detection of Mycobacterium tuberculosis complex in both pulmonary and extrapulmonary specimens.Scientific reports · 2019Article
- Medical Care for Undocumented Immigrants: National and International Issues.Physician assistant clinics · 2019Review
- Medical Care for Undocumented Immigrants: National and International Issues.Primary care · 2017Review
- Border Lookout: Enhancing Tuberculosis Control on the United States-Mexico Border.The American journal of tropical medicine and hygiene · 2015Article
- Diagnosis of pulmonary tuberculosis: recent advances and diagnostic algorithms.Tuberculosis and respiratory diseases · 2015Review
- Decline in tuberculosis among Mexico-born persons in the United States, 2000-2010.Annals of the American Thoracic Society · 2014Article
- Independent association of younger age with hemoptysis in adults with pulmonary tuberculosis.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2012Article
- Unexpected decline in tuberculosis cases coincident with economic recession - United States, 2009.BMC public health · 2011Article
- Social, clinical and microbiological differential characteristics of tuberculosis among immigrants in Spain.PloS one · 2011Article
- Expanding the universe of universal coverage: the population health argument for increasing coverage for immigrants.Journal of immigrant and minority health · 2009Review
- Imported infectious diseases in mobile populations, Spain.Emerging infectious diseases · 2009Article
- Pandemic influenza preparedness and response among immigrants and refugees.American journal of public health · 2009Article
- Ethical considerations about reporting research results with potential for further stigmatization of undocumented immigrants.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2009Article
- Migrants and emerging public health issues in a globalized world: threats, risks and challenges, an evidence-based framework.Emerging health threats journal · 2009Article
- Tuberculosis Elimination Efforts in the United States in the Era of Insurance Expansion and the Affordable Care Act.Public health reports (Washington, D.C. : 1974)Article
- Multidrug-resistant tuberculosis: Treatment and outcomes of 93 patients.Canadian respiratory journalArticle
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundMost cases of tuberculosis (TB) in the United States are diagnosed in foreign-born persons, and undocumented foreign-born persons may face particular barriers to timely access to health care services. This study investigates whether differences in clinical presentations among persons with pulmonary TB are associated with foreign birth or documentation status.
methodsIn this cross-sectional study, we reviewed the medical records of patients who had received a diagnosis of microbiologically proven pulmonary TB at a New York City public hospital during the period April 1999 through March 2005. Three groups of patients with pulmonary TB (US-born persons, foreign-born persons with documents, and undocumented, foreign-born persons) were defined and compared at presentation. Odds ratios (ORs) for a symptom duration >or=8 weeks before hospital admission for each group were estimated using logistic regression.
resultsAmong 194 subjects with newly diagnosed pulmonary TB, 61 (31%) were US born, 62 (32%) were documented foreign-born persons, and 71 (37%) were undocumented foreign-born persons. Undocumented foreign-born persons presented with significantly higher frequencies of cough (P = .020) and hemoptysis P = .012 and had a significantly longer median duration of symptoms, compared with US-born persons (8 vs. 4 weeks; P = .023). No statistically significant differences between documented foreign-born and US-born persons were observed. Multivariate analysis revealed that undocumented status (compared with being US born; adjusted OR, 4.1; 95% confidence interval, 1.7-10.2; P = .0002) and being unemployed (adjusted OR, 2.2; 95% CI, 1.1-4.5; P = .023) were independently associated with a prolonged symptom duration (i.e., >or=8 weeks).
conclusionsUndocumented status was associated with an increased frequency of cough and hemoptysis and a longer duration of symptoms before medical evaluation for pulmonary TB. Whether reducing barriers to health services for undocumented foreign-born persons could enhance TB control deserves additional study.
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